| NPI | 1730921081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE TAVAREZ LOPEZ Founder/Executive Director 754-779-0584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2024-06-08 |
| Last Update Date | 2024-06-08 |